LAKE FOREST HOSPITALPHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****75

License Status

NOT RENEWED

Business

Business Name

LAKE FOREST HOSPITALPHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

Hospital/Clinic

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005